coco317

coco317

CVICU

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All Content by coco317

  1. What is the easiest CRRT machine to use?

    coco317 replied to gest1971's topic in Critical Care

    I love the prismaflex. Everything is color coded and the machine has step by step instructions with color coded illustration for set up and any alarm

  2. Learning to manage 2 patients?

    coco317 replied to luckynurse_1234's topic in MICU, SICU

    If your hospital does not have a walking report element to shift change, I would get in the habit of going into your room and meeting the patient/family and checking your lines and placement of...

  3. Staffing & Patient Acuity

    coco317 replied to tk0224's topic in CCU, Coronary, Cardiac

    IABP always 1:1. Fresh open hearts are 1:1 usually until the next morning when the swan is removed. Sometimes they are 1:1 longer if they are

  4. Nervous Noob

    coco317 replied to NYCRN2013's topic in CCU, Coronary, Cardiac

    My advice is to get your kardex/report sheet organized in a way that facilitates your workflow most efficiently. The information you will want to have at your fingertips is probably going to be...

  5. How to not appear desperate when I am...

    coco317 replied to lolaviex's topic in Job Search, Interview, Resume

    I applied for basically every open position at the hospital I'm currently employed. I did my preceptorship in a CVICU so I definitely wanted that unit or another ICU or tele floor. On my initial...

  6. charting meds dur conscious sedation for another rn

    coco317 replied to nursecheryler's topic in Patient Medications

    In my experience if I'm charting what another nurse is doing I state in my charting "J. Doe, RN applying manual pressure to right groin" during a sheath pull. I would imagine its the same way charting...

  7. Thinking of going to ICU/MICU/SICU

    coco317 replied to JetBlitz's topic in CCU, Coronary, Cardiac

    Sounds like you're a great fit for an icu setting! My hospital is in the process of switching to meditech 6.0 with the point and click interface. We have a recall feature (an actual button that reads...

  8. Minimum age for a CNA in ohio?

    coco317 replied to JayCimone's topic in Ohio Nursing

    I worked as a STNA at age 17 in the Cleveland area. Just depends on the

  9. Considering ICU/CCu

    coco317 replied to martymoose's topic in CCU, Coronary, Cardiac

    Talk to the nurse manager in the icu and let them know you are interested. Try and see if you can set up a shadow experience with an experienced nurse if you're hesitant to transfer. You sound like...

  10. Shift change and visitation in ICU/stepdown

    coco317 replied to opossum's topic in MICU, SICU

    I work in a combined ICU /step down. Our posted visiting hours are 11-2 and 5-8. Exceptions for patients going for surgery or an invasive procedure. Limit 2 and no one under the age of 12....

  11. Trust?

    coco317 replied to Classymommy's topic in CCU, Coronary, Cardiac

    It could be a number of other factors as well. It sounds like your charge nurse doesn't want to set you up for failure. He/she may be considering the acuity of the patients on the floor vs how many...

  12. Med Surg Nurses That Switched Over to ICU Nursing

    coco317 replied to GaMommy81's topic in MICU, SICU

    Gotta keep calm in any ICU setting!

  13. ER transitioning to ICU

    coco317 replied to felineRN's topic in MICU, SICU

    In the area where you list your skills I would say "managing and titrating gtts" and during your interview they will ask what gtts you've

  14. D-Dimers

    coco317 replied to maloneys's topic in MICU, SICU

    When we have a positive d dimer there's a message that auto populates stating clinical correlation

  15. Do you have a clever way to do IS teaching?

    coco317 replied to EGVnurse's topic in Patient Education

    I instruct them to suck in, take rests, coughing is good, keep the little bobber in between the arrows ( I call it the strike zone for those into baseball- that works well with men haha). I then...

  16. How do you get to sleep?

    coco317 replied to eva123's topic in General Students

    Trying listening to a meditation recording. "Meditation oasis" is a free podcast I downloaded on my phone. It usually does the trick in de-stressing me and knocking me out haha. I will also take...

  17. First code, question about family notification

    coco317 replied to blackvans1234's topic in Patient, Colleague Relations

    In my personal experience with codes in the hospital, the family is called in because we don't know if they will continue to code again and again during the night. If the outlook for the patient is...

  18. Responding to the ER for STEMIs

    coco317 replied to MesaRN's topic in CCU, Coronary, Cardiac

    My hospital does this and it's proven to be very beneficial to our patients and has brought our average door to balloon time down -- our record is 9 minutes! We call it a 'Code STEMI' - it's paged...

  19. New Grad - ICU

    coco317 replied to KelKelRN's topic in MICU, SICU

    I've been working in a CVICU as a new grad for a little over a year now. Have a good relationship with your manager and preceptors with an open and honest line of communication. You need to voice your...

  20. To Study or not to Study?

    coco317 replied to BigCSN's topic in NCLEX Exam, Programs

    My nursing school utilized ATI practice testing to prepare us for the NCLEX. (If you're not familiar it's online testing designed to simulate the NCLEX test) I used these practice tests to gauge my...

  21. if a hematoma is beginning to form in the groin after a cath.....

    coco317 replied to raindrop's topic in Cardiac

    At my hospital we hold manual pressure in the groin for 25-30 minutes or longer until hemostasis has occurred. We always have a second RN in the room (or occasional our PCA) to document q5 vs and...

  22. heart rate 40 ,SBP 60, for over an hour

    coco317 replied to brownbook's topic in Cardiac

    I would have expected someone to consult an EP doc for possible pacemaker insertion. With BPs that low you have to worry about all of his vital organs being perfused even if he is awake and

  23. Refilling water pitchers

    coco317 replied to sizzlev's topic in Patient Safety Issues

    I work in a CVICU (which is half step down) and we rarely give anyone a water pitcher. Our pts are strict I and O's and most are on a fluid restriction. We use a new styrofoam cup every time someone...

  24. What to know before starting CTICU preceptorship?

    coco317 replied to bug2621's topic in CCU, Coronary, Cardiac

    I did my preceptorship in the CVICU and I actually got hired on the unit as a brand new RN after I took my boards. I was in contact via email with the nurse manager before I started my preceptorship....